percutaneous cardiac and peripheral … cardiac and peripheral vascular ... interventional...

CHAIRMANJasvindar Singh, MD, FACC

ADVANCED REVASCULARIZATION - CHAPTER X

2 0 1 7 Celebrating our 10th Anniversary!

CORONARY / STRUCTURAL DIRECTORS Howard I. Kurz, MDJohn M. Lasala, MD, PhD

PERIPHERAL DIRECTORSGeorge S. Chrysant, MD Craig M. Walker, MD

April 19 -22, 2017

PERCUTANEOUS CARDIAC AND PERIPHERAL VASCULAR

THERAPEUTICS 2017

The Four Seasons HotelSt. Louis, Missouri

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CHAIRMAN

Jasvindar Singh, MD, FACCAssociate Professor of MedicineDirector, Interventional CardiologyWashington University School of MedicineMedical Director, Cardiac Catheterization LaboratoryBarnes-Jewish Hospital St. Louis, Missouri

CORONARY / STRUCTURAL DIRECTORS Howard I. Kurz, MD, MSE, FACCProfessor of Medicine Associate Director, Cardiac Catheterization LaboratoryDirector, Interventional Cardiology FellowshipWashington University School of MedicineSt. Louis, Missouri

John M. Lasala, MD, PhD, FACC, FSCAI Professor of MedicineDirector, Structural Heart DiseaseWashington University School of MedicineSt. Louis, Missouri

PERIPHERAL DIRECTORSGeorge S. Chrysant, MD, FACC, FSCAI, FSCCTChief Scientific Officer INTEGRIS Heart HospitalOklahoma City, Oklahoma

Craig M. Walker, MD, FACC, FACA, FACP, FCCP Founder, President and Medical DirectorCardiovascular Institute of the SouthClinical Professor of MedicineLSU School of Medicine Clinical Professor of MedicineTulane University School of MedicineHouma, Louisiana

Amit P. Amin, MD, MScAssistant Professor of Medicine, Cardiovascular Division

Richard G. Bach, MD, FACC, FSCAIAssociate Professor of Medicine, Cardiovascular DivisionMedical Director, Cardiac Intensive Care Unit

Keki R. Balsara, MDAssistant Professor, SurgeryCenter for Advanced Medicine Lung Center

David T. Balzer, MD, FSCAIProfessor of Pediatrics, Division of Pediatric CardiologyDirector, Cardiac Catheterization Laboratory

Phillip S. Cuculich, MDAssistant Professor of Medicine, Cardiovascular DivisionClinical Cardiac Electrophysiologist

Ralph J. Damiano, Jr. MD, FACCEvarts A. Graham Professor of SurgeryChief, Division of Cardiothoracic SurgeryCo-Chair, Heart & Vascular Center

Marye J. Gleva, MD, FACC, FHRSAssociate Professor of Medicine, Internal Medicine, Electrophysiology Unit

Akinobu Itoh, MD, PhDAssistant Professor of Cardiothoracic Surgery

Paul M. Lavigne, MDFellow, Cardiovascular Division

Hersh S. Maniar, MDAssociate Professor, SurgeryDivision of Cardiothoracic SurgeryCenter for Advanced Medicine

Spencer J. Melby, MDAssistant Professor of Cardiothoracic Surgery

Amit Noheria, MBBS, SMAssistant Professor of Medicine, Cardiovascular Division

Joshua W. Osbun, MDAssistant Professor, Neurosurgery

Nishath Quader, MDAssistant Professor of Medicine, Cardiology

Marc A. Sintek, MDFellow, Interventional Cardiology

Nishtha Sodhi, MDFellow, Interventional Cardiology

Alan Zajarias, MD, FACCAssociate Professor of Medicine, Cardiovascular DivisionStructural Heart Disease Fellowship DirectorAssociate Director, Interventional Cardiology Fellowship Program

Invited Faculty

Washington University School of Medicine and Barnes-Jewish

Hospital Faculty

Alejandro Aquino, MDInterventional CardiologyHonorHealth Heart GroupScottsdale, Arizona

Alok Bachuwar, MD, FACC, FSCAIInterventional CardiologistEssentia Health – St. Mary’s Heart & Vascular CenterDuluth, Minnesota

Sudeshna Banerjee, MD, FACCInterventional CardiologistOregon Heart & Vascular Institute, Sacred Heart Medical CenterEugene, Oregon

Michael Brown, MDInterventional CardiologistMissouri Heart CenterColumbia, Missouri

Jeffrey W. Chambers, MD, FACCDirector, Lipid ClinicMetropolitan Heart & Vascular InstituteMinneapolis, Minnesota

Edward Coverstone, MDCardiology St. Anthony’s Heart Specialty AssociatesSt. Louis, Missouri

David A. Cox, MD, FACC, FSCAIDirector, Interventional Cardiology Research - CV Research Associate Director, Cardiac Cath LabLehigh Valley HospitalAllentown, Pennsylvania

Chaitanya K. Dahagam, MDHealthcare Business Development Lead, IBM Watson Ecosystem, IBM CorporationWashington, District of Columbia

Stilianos Efstratiadis, MD, FACC, FSCAIAssistant Professor of Medicine, CardiologyWashington University School of MedicineQuincy Medical Group, Blessing HospitalQuincy, Illinois

Corey G. Foster, MDInterventional CardiologistImperial Health - Cardiovascular SpecialistsLake Charles, Louisiana

James A. Goldstein, MD, FACC, FSCAIDirector of Research and EducationBeaumont Health SystemRoyal Oak, Michigan

James B. Hermiller, MD, FACC, FSCAIDirector, Interventional CardiologyDirector, Interventional Cardiology FellowshipSt. Vincent Heart CenterIndianapolis, Indiana

Prakash Krishnan, MD, FACCDirector, Endovascular ServicesCardiac Catheterization LaboratoryAssistant Professor of Medicine, CardiologyThe Mount Sinai HospitalNew York, New York

C. Huie Lin, MD, PhD, FACC, FSCAIInterventional CardiologistHouston Methodist DeBakey Heart & Vascular CenterHouston, Texas

Yves R. Louvard, MDCardiovascular Institute Paris-SudMassy, France

S. Jay Mathews, MD, MS, FACCInterventional CardiologistBradenton Cardiology CenterBradenton, Florida

Anibal G. Melo, MDNephrologySt. Luke’s HospitalChesterfield, Missouri

Ian Meredith, MD, PhDExecutive Vice President, Global Chief Medical Officer, Boston ScientificMarlborough, Massachusetts

Adrian W. Messerli, MD, FACC, FSCAIAssociate Professor of Medicine; Medical Director of Cardiac Cath Lab, University of Kentucky HealthcareInterventional CardiologistLexington, Kentucky

Sukhjinder Nijjer, MD, PhD, MRCClinical Research FellowImperial College LondonLondon, England

Manish A. Parikh, MD, FACC, FSCAIAssociate Director, Cardiac Cath Lab Director, Physician Education Center for Interventional Vascular TherapyColumbia University Medical CenterNew York, New York

Sahil A. Parikh, MD, FACC, FSCAIAssistant Professor of MedicineDirector, Experimental Interventional Cardiology LaboratoryColumbia University Medical CenterNew York, New York

Arthur B. Reitman, MD, FACCMedical Director, Cardiac Cath LabWellStar Health SystemMarietta, Georgia

David G. Rizik, MDChief Scientific Officer Director of Structural and Coronary Interventions HonorHealth Heart Group Scottsdale, Arizona

Sayan Sen, MDConsultant Cardiologist and Honorary Senior Clinical LectureNational Heart & Lung InstituteHammersmith Hospital & Imperial College LondonLondon, England

Ashok Seth, MDChairman, Fortis Escorts Heart InstituteNew Delhi, India

Robert L. Shapiro, MD, FACCInterventional CardiologistMcFarland Clinic, PCAmes, Iowa

Anthony J. Spaedy, MD, FACCInterventional CardiologistMissouri Heart CenterColumbia, Missouri

Jeffrey M. Sparling, MD, FACCInterventional CardiologistINTEGRIS Heart HospitalAssistant Clinical ProfessorUniversity of Oklahoma College of MedicineOklahoma City, Oklahoma

Mark S. Spence, MDConsultant CardiologistRoyal Victoria HospitalBelfast, Northern Ireland

Anish J. Thomas, MD, FACC, FSCAIDirector, Cardiac Catheterization LaboratorySSM St. Clare HospitalSSM Heart Institute St. Louis, Missouri

Steven J. Yakubov, MD, FACC, FSCAISystem Chief, Structural Heart DiseaseJohn H McConnell Chair of Advanced Structural Heart DiseaseMedical Director, OhioHealth Research InstituteRiverside Methodist HospitalColumbus, Ohio

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Invited Faculty

Symposium OverviewThe Advanced Revascularization-Chapter X (ARCH) Symposium held in St. Louis is the nation’s premier interventional cardiology course specifically designed for the busy practicing physician and trainees. ARCH 2017 will focus on evidence-based data, newer technological advances, case-based discussions, tips and tricks in complex cases, innovative therapeutic strategies that will enable physicians to treat their patients with high-risk and complex coronary, peripheral vascular and structural anatomy. Attendees will learn from experts on the use of novel techniques and interventional tools, new CTO techniques, hemodynamic support during high-risk Coronary, Peripheral and Structural Interventions and decompensated heart failure, structural heart disease interventions and novel intravascular coronary anatomy/physiology techniques. In addition, use of newer adjunctive imaging modalities to optimize Coronary, Peripheral and Structural Interventions outcomes will be presented. Participants will observe live cases and hear from International experts who will present their data and share their expertise. With a strong emphasis on participant-faculty interactions, attendees will learn the latest advances in interventional cardiology.

Target Audience This course has been designed to meet the educational needs of Interventional and General Cardiologists, Internists, Cardiothoracic Surgeons, General Surgeons, Primary Care Physicians, and Neurologists plus Nurses, Nurse Practitioners and Ancillary staff.

Physician Continuing EducationThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of CMEsolutions and Gaffney Events. CMEsolutions is accredited by the ACCME to provide continuing medical education for physicians.

Nursing Continuing EducationThis activity has been submitted to the Western Multi-State Division for approval to award contact hours. The Western Multi-State Division is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

American Society of Radiologic TechnologistCategory A/A+ CE credit is pending approval by the ASRT.

ObjectivesThe objectives of the ARCH Symposium are presentations and discussions of current knowledge and practice of cardiac and peripheral percutaneous therapy. The intended result of this activity is increased knowledge, competence, performance and skill and enhanced patient care.

At the end of this CME activity participants should be able to:

• Interpret the pivotal coronary disease management trials of the past year and how they can be applied to bedside patient management in 2017.

• Differentiate the distinction between the specific clinical features of appropriate use criteria and the evidence-based summaries on which PCI guidelines are developed.

• Identify the role of adjunctive imaging and physiology for diagnosis and management of complex cardiovascular disease.

• Understand practical techniques relating to highly stenosed lesions and the use of percutaneous left ventricular assist devices (LVAD).

• Discuss interventional dilemmas/controversial cases of the day: instructive, unique and interesting cases by faculty members concentrating on procedural strategy and solutions to complications.

• Discuss strategies in improving quality and cost reduction in the modern cath lab.

• Appraise serious complications - how to avoid them, how to treat them.

• Define technically difficult & high risk subsets.

• Evaluate the development of new technology-imaging modalities, IVUS, OCT, MRA and CT angiography.

• Discuss the indications, benefits and relative risk of radial artery based coronary interventions.

• Discuss the relative role of trans-catheter and surgical therapies for advanced structural heart disease, both valvular and non-valvular and atrial fibrillation.

• Understand the risks of radiation and ways to minimize exposure.

Instructions to Receive CreditTo receive credit, participants must attend credit-designated sessions, and must submit a completed evaluation and application for credit at the conclusion of the symposium. For more information regarding contact hours, please call Shirlene DeHart 520-544-2938 or click on the CME tab on the symposium website.

Disclosure of Conflicts of InterestCMEsolutions requires everyone in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by CMEsolutions for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

Symposium Information

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STATE-OF-THE-ART DINNER & LECTURE TUESDAY, APRIL 18, 20176:00 pm – 9:30 pm | Four Seasons Hotel St. Louis“Building Bridges: Polish-Jewish Perspectives”Register at: www.skotnickistlpolonia.eventbrite.com

Keynote Speaker: Aleksander Skotnicki, MD

ADVANCES IN CLINICAL MEDICINEARCH Pre-CourseWEDNESDAY, APRIL 19, 2017

DIRECTORMelvin Blanchard, MDProfessor, MedicineChief, Division of Medical EducationDirector, Internal Medicine ResidencyWashington University School of MedicineSt. Louis, Missouri

COURSE OVERVIEW

The Advances in Clinical Medicine has been designed to provide conference attendees with an update in the evaluation and management of several chronic diseases treated by healthcare providers in the outpatient setting. Physicians in practice need education about these new developments, new drugs and how to use them to better treat chronic diseases and their complications, and to do so in a safe and high quality manner. Further, as the healthcare system evolves, healthcare providers need to better understand the context in which they are practicing.

TARGET AUDIENCE The 2017 Advances in Clinical Medicine Course has been designed to meet the educational needs of Internists, Family Practitioners, Nurse Practitioners, Physician Assistants, Clinical Pharmacists, Medical Students, Residents, and Fellows.

AGENDA7:15 am REGISTRATION / CONTINENTAL BREAKFAST Mississippi Room, 8th floor7:50 am Welcome and Introduction Melvin Blanchard, MD

8:00 am Update in Rheumatology Deborah Parks, MD

8:30 am Vasculitis Jacek Musial, MD, PhD

9:00 am Management of Diabetes Marina Litvin, MD

9:30 am Q&A9:45 am BREAK / VISIT EXHIBITS10:15 am Management of Resistant Hypertension Angela Brown, MD

10:45 am Evaluation and Management of Hyperlipidemia William Clutter, MD

11:15 am Cardiac Diagnostic Tests Corey G. Foster, MD

11:45 am Q&A12:00 pm LUNCH / VISIT EXHIBITS1:00 pm Perioperative Cardiac Risk Assessment and Management in Noncardiac Surgery Wojciech Szczeklik, MD, PhD

1:30 pm Evaluation and Management of Chronic Kidney Disease (CKD) Marcos Rothstein, MD

2:00 pm Practical Considerations in Oral Anticoagulant Therapy Morey A. Blinder, MD

2:30 pm Q&A

2:45 pm BREAK / VISIT EXHIBITS

FRONTIERS OF MEDICINE3:00 pm State of the Healthcare System and Reimbursement Nathan Moore, MD

3:30 pm The Push for High Value Medical Care and What it Means Melvin Blanchard, MD

4:00 pm Closing Remarks Melvin Blanchard, MD and Philip Korenblat, MD

CO-DIRECTORSMorey A. Blinder, MDPhillip Korenblat, MD

INVITED FACULTYJacek Musial, MD, PhDWojciech Szczeklik, MD, PhD

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ALLIED HEALTH PROFESSIONALS SYMPOSIUMTHURSDAY, APRIL 20, 2017

DIRECTORMarci Damiano, RN, MSNClinical Nurse CoordinatorCenter for Valvular Heart DiseaseWashington University School of Medicine atBarnes-Jewish HospitalSt. Louis, Missouri

AGENDA7:00 am REGISTRATION / CONTINENTAL BREAKFAST Foyer of Ballroom C, 6th Floor

7:50 am WELCOME AND INTRODUCTION Ballroom A/B, 6th Floor Marci Damiano, RN, MSN

STRUCTURAL HEART SESSION8:00 am TAVR Procedure: Procedural Techniques, Program Development Marci Damiano, RN, MSN, Alan Zajarias, MD

8:20 am MitraClip Procedure: Procedural Techniques, Outcomes, Indications for Commercial Use Marci Damiano, RN, MSN, Nishath Quader, MD

8:40 am Use of Impella in High-Risk Catheter-Based Procedures Sherri Lawson, RN, John M. Lasala, MD, PhD

9:00 am LAA Occluder Devices: Indications for Implantation & Procedural Considerations Dave Martin, RN, Amit Noheria, MD

9:20 am Q&A / Panel Discussion

9:45 am BREAK / VISIT EXHIBITS

NURSING CONSIDERATIONS, STATE-OF-THE-ART SESSION10:15 am KEYNOTE: How Do I Get This Patient to the Cath Lab Procedure and What Do I Do with Them When They Return? Caring for Patients Pre and Post Diagnostic Catheterization and PCI: Interpreting the Reports Lynne Jones, RN, BSN, RCIS

10:30 am Nursing Role in Oral Hydration Protocol in Acute Kidney Injury Prevention Christine O’Connor, RN

10:45 am Prevention of Hospital Readmissions Following Percutaneous Cardiac Procedures Nelda Martin, RN, ANP, Brandon Rahn

11:00 am Radial Artery Access, Patient Care Considerations Amit P. Amin, MD

11:15 am Occupational Hazards, Radiation Exposure in the Cath Lab Timothy R. Keys, MS, DABR

11:30 am The Pearls of Documentation, Coding, Billing, & Reimbursement in the Structural Heart Program Amy Baker, CPC, CCC, RHIT, CEMC and Doris Lehmann

11:45 am Q&A / Panel Discussion

12:00 pm COURSE CONCLUSION / CLOSING REMARKS

FELLOWS COURSETHURSDAY, APRIL 20, 2017

OVERVIEW

This program is intended to prepare Cardiology Fellows for Interventional practice. Space is limited and applications will be accepted on a first-come, first-served basis for qualified candidates.

Scholarship Includes:• Round-Trip Airfare or Mileage Reimbursement*

• Hotel Accommodations (3 Nights) April 19, 20, 21, 2017 at the Four Seasons Hotel

• Reimbursement of approved out-of-pocket expenses

• Complimentary Registration for the 2017 ARCH Symposium (Attendance at ARCH General Sessions is required)

*No International air travel. Please refer to scholarship guidelines for conditions.

To Register Visit www.ARCHsymposium.com

AGENDA 7:00 am REGISTRATION / CONTINENTAL BREAKFAST Mississippi Room, 8th Floor

7:30 am WELCOME AND INTRODUCTION Mississippi Room, 8th Floor Jasvindar Singh, MD

BASICS: ACCESS, EQUIPMENT, CASE SELECTIONModerators: James B. Hermiller, MD, Jasvindar Singh, MD

7:40 am Case Selection / Guidelines James B. Hermiller, MD

7:55 am Radial Access Amit P. Amin, MD

8:10 am Femoral Access Howard I. Kurz, MD

8:25 am Guidelines / Balloons Alok Bachuwar, MD

8:40 am What Stent to Use Jasvindar Singh, MD

8:55 am Q&A

9:00 am BREAK

COMPLEX PERCUTANEOUS CORONARY INTERVENTION (PCI)Moderators: David G. Rizik, MD, Yves R. Louvard, MD

9:15 am Approach to Multi-Vessel Percutaneous Coronary Intervention David A. Cox, MD

COMPLEX SUBSETS

9:30 am Left Main David G. Rizik, MD

9:40 am Bifurcation Yves R. Louvard, MD

9:50 am Ostial Lesions / Saphenous Vein Graft Corey G. Foster, MD

CASES

10:00 am My Worst / Best in First Year Edward Coverstone, MD

10:10 am My Worst / Best in First Year Corey G. Foster, MD

10:20 am My Worst / Best in First Year Alejandro Aquino, MD

10:30 am BREAK

IMAGING / PHYSIOLOGYModerators: George S. Chrysant, MD, Jasvindar Singh, MD

10:45 am FFR – Fractional Flow Reserve Richard G. Bach, MD

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11:00 am iFR - Instantaneous Wave Free–Ratio / Baseline Indices Sukhjinder Nijjer, MD

11:15 am IVUS – Intravascular Ultrasound Marc A. Sintek, MD

11:30 am OCT – Optical Coherence Tomography George S. Chrysant, MD

COMPLICATIONSModerators: David A. Cox, MD, John M. Lasala, MD, PhD, Steven J. Yakubov, MD

11:40 am Prevention is Better Than Cure David A. Cox, MD

11:50 am Perforation / Dissection Steven J. Yakubov, MD

12:00 pm Case-Based Review 1 Corey G. Foster, MD

12:10 pm Case-Based Review 2 Nishtha Sodhi, MD

12:20 pm Cased-Based Review 3 Paul M. Lavigne, MD

12:30 pm WORKING LUNCH

ATHERECTOMYModerators: Jeffrey W. Chambers, MD, John M. Lasala, MD, PhD, Arthur B. Reitman, MD

12:40 pm Rotational Atherectomy Arthur B. Reitman, MD

12:50 pm Orbital Atherectomy Jeffrey W. Chambers, MD

1:00 pm Laser (Ablative) Atherectomy Jasvindar Singh, MD

1:10 pm Scoring / Specialty Balloon Marc A. Sintek, MD

1:20 pm Q&A

1:30 pm COURSE CONCLUSION / CLOSING REMARKS

GENERAL SESSION AGENDATHURSDAY, APRIL 20, 2017

1:15 pm REGISTRATION Foyer of Ballroom C, 6th floor

2:00 pm Welcome and Introduction Ballroom A/B, 6th Floor Jasvindar Singh, MD

STRUCTURAL SESSION I | HEART DISEASE

2:10 pm KEYNOTE: Structural Heart Disease Interventions, A Peak into the Future James B. Hermiller, MD

2:50 pm LIVE CASE 1 Left Atrial Appendage (LAA) Satellite from Barnes-Jewish Hospital, St. Louis, MOOperators: John M. Lasala, MD, PhD, Amit Noheria, MD, Alan Zajarias, MD, MSCModerators: Ralph J. Damiano, Jr., MD, Marye J. Gleva, MD, James B. Hermiller, MD, David G. Rizik, MD

3:30 pm BREAKOUT SESSIONS (Choose a session to attend)

BREAKOUT I - Ballroom A/B, 6th Floor

STRUCTURAL SESSION II | LEFT ATRIAL APPENDAGE CLOSUREModerators: Phillip S. Cuculich, MD, Ralph J. Damiano, Jr., MD, James B. Hermiller, MD, Steven J. Yakubov, MD

3:30 pm Guidelines / Patient Selection Amit Noheria, MD

3:45 pm Procedural Tips Steven J. Yakubov, MD

4:00 pm Imaging for Left Atrial Appendage Closure Nishath Quader, MD

4:15 pm Surgical Approach for A-Fib Ralph J. Damiano, Jr., MD

4:30 pm Q&A

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BREAKOUT II - Laclede, 6th Floor

PERIPHERAL SESSION IModerators: George S. Chrysant, MD, Sahil A. Parikh, MD, Craig M. Walker, MD

3:30 pm Carotid Disease Update Sahil A. Parikh, MD

3:45 pm Abdominal Aortic Aneurysm S. Jay Mathews, MD

4:00 pm Renal Vascular Disease Alejandro Aquino, MD

4:15 pm Interventional Stroke Treatment Joshua W. Osbun, MD

4:30 pm Q&A

HEMODYNAMIC SYMPOSIUMLocation: Ballroom A/B, 6th Floor Moderators: David A. Cox, MD, John M. Lasala, MD, PhD, David G. Rizik, MD

4:40 pm Mechanical Support in Complex PCI John M. Lasala, MD, PhD

4:50 pm IABP: Intra-Aortic Balloon Pump vs. Impella David A. Cox, MD

5:00 pm ECMO: Extracorporeal Membrane Oxygenation Keki R. Balsara, MD

5:10 pm New Devices and Applications Alan Zajarias, MD

5:20 pm Case 1 Akinobu Itoh, MD, PhD

5:30 pm Case 2 Paul M. Lavigne, MD, Marc A. Sintek, MD, Nishtha Sodhi, MD

5:40 pm Q&A

5:50 pm CLOSING REMARKS / ADJOURN

General Session Evening SymposiumADVANCED IMAGING FORUMSponsored by: Acist, Boston Scientific, Philips Volcano, St. Jude Medical

THURSDAY, APRIL 20, 2017

Intravascular Ultrasound, Optical Coherence Tomography, High-Definition Intravascular Ultrasound, Fractional Flow Reserve, Instantaneous Wave-Free Ratio

Moderators: Richard G. Bach, MD, Sukhjinder Nijjer, MD, PhD, Jasvindar Singh, MD

Discussants: George S. Chrysant, MD, Paul M. Lavigne, MD, C. Huie Lin, MD, PhD, Marc A. Sintek, MD, Nishtha Sodhi, MD

6:30 pm Welcome and Introduction Ballroom A/B, 6th Floor

6:35 pm Cardiac CT in Modern Practice, FFR CT, CT Perfusion George S. Chrysant, MD

7:05 pm Electrophysiology and Structural Heart Planning with CT C. Huie Lin, MD, PhD

7:20 pm Instantaneous Wave Free–Ratio / Fractional Flow Reserve Cases Richard G. Bach, MD, Sukhjinder Nijjer, MD, PhD

7:35 pm Intravascular Ultrasound / Optical Coherence Tomography Cases George S. Chrysant, MD, Paul M. Lavigne, MD, Marc A. Sintek, MD, Nishtha Sodhi, MD

7:50 pm Q&A

8:00 pm ADJOURN

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GENERAL SESSION AGENDAFRIDAY, APRIL 21, 2017

7:00 am REGISTRATION / CONTINENTAL BREAKFAST Foyer of Ballroom C, 6th floor

7:35 am Welcome and Introduction Ballroom A/B, 6th Floor Jasvindar Singh, MD

7:45 am KEYNOTE: Future of Interventional Cardiology Ian Meredith, MD

8:30 am Q&A

8:45 am LIVE CASE 2 Structural TAVR | Lotus Satellite from Royal Victoria Hospital, Belfast, Northern IrelandOperator: Mark Spence, MDModerators: John M. Lasala, MD, PhD, Hersh S. Maniar, MD, Spencer J. Melby, MD, David G. Rizik, MD, Alan Zajarias, MD

CORONARY SESSION IModerators: James B. Hermiller, MD, David G. Rizik, MD

9:30 am Top Ten Trials: Coronary and Structural James B. Hermiller, MD

9:50 am Top Five Trials: Peripheral Vascular Craig M. Walker, MD


10:25 am LIVE CASE 3 Bioabsorbable Vascular Scaffolds (BVS) Satellite from Fortis Escorts Heart Institute, New Delhi, IndiaOperator: Ashok Seth, MDModerators: George S. Chrysant, MD, James B. Hermiller, MD, John M. Lasala, MD, PhD, David G. Rizik, MD

11:10 am LIVE CASE 4 Physiology / Imaging Satellite from Imperial College, London, EnglandOperator: Sayan Sen, MDModerators: Richard G. Bach, MD, George S. Chrysant, MD, James B. Hermiller, MD, David G. Rizik, MD

11:55 am Q&A

12:10 pm WORKING LUNCH | Supported by: Abbott

CORONARY SESSION II - STENTSModerators: David A. Cox, MD, Yves R. Louvard, MD, David G. Rizik, MD

DEBATE CENTRAL I (12 minute debates)

12:25 pm Bioabsorbable Vascular Scaffold Will Be the Future David G. Rizik, MD

Bioabsorbable Polymer Metallic Stents Will Take Over Manish A. Parikh, MD

Durable Polymer Metallic Stents Will Remain the Mainstay David A. Cox, MD

1:05 pm Q&A

COMPLEX CORONARY SESSION IIIModerators: Yves R. Louvard, MD, Manish A. Parikh, MD, Jasvindar Singh, MD

1:15 pm Left Main: Update on Left Main Disease: Trial / Guidelines / Technology Manish A. Parikh, MD

1:30 pm Bifurcation Disease: European Bifurcation Club Consensus Yves R. Louvard, MD


2:00 pm LIVE CASE 5 Complex PCI (Left Main Bifurcation) Satellite from Barnes-Jewish Hospital, St. Louis, Missouri Operators: Howard I. Kurz, MD, Jasvindar Singh, MD Moderators: George S. Chrysant, MD, David A. Cox, MD, Yves R. Louvard, MD, Ian Meredith, MD, David G. Rizik, MD

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2:45 pm LIVE CASE 6 Peripheral Satellite from The Mount Sinai Hospital, New York, New YorkOperator: Prakash Krishnan, MD Moderators: George S. Chrysant, MD, Anish J. Thomas, MD, Craig W. Walker, MD

3:30 pm Q&A

3:45 pm BREAKOUT SESSIONS (Choose one session to attend)


STRUCTURAL SESSION IIIModerators: John M. Lasala, MD, PhD, Steven J. Yakubov, MD, Alan Zajarias, MDPanelist: Hersh S. Maniar, MD, Nishath Quader, MD

3:45 pm Transcatheter Pulmonic Valve Replacement David T. Balzer, MD

3:55 pm Valve in Valve Therapy Alan Zajarias, MD

4:05 pm Catheter-Based Mitral Valve Replacement John M. Lasala, MD, PhD

4:15 pm Low Risk Patients and TAVR Steven J. Yakubov, MD

4:25 pm Catheter-Based and Tricuspid Valve Repair; Myth or Reality Alan Zajarias, MD

4:35 pm Q&A



PERIPHERAL SESSION II | SFA / POPLITEAL SESSIONModerators: George S. Chrysant, MD, Sahil A. Parikh, MD, Craig M. Walker, MD

3:45 pm Approach to Femoral Popliteal Disease: Is There an Algorithm? Craig M. Walker, MD

4:00 pm Role of Stents: Nitinol, Interwoven, Covered, Drug-Eluting Sahil A. Parikh, MD

4:15 pm Role of DCB / Atherectomy Anish J. Thomas, MD

4:30 pm Complex Peripheral Case Example 1 Michael Brown, MD

4:35 pm Complex Peripheral Case Example 2 S. Jay Mathews, MD

4:40 pm Complex Peripheral Case Example 3 Anish J. Thomas, MD


CHRONIC TOTAL OCCLUSION SYMPOSIUMLocation: Ballroom A/B, 6th FloorModerators: Sudeshna Banerjee, MD, Yves R. Louvard, MD, Anthony J. Spaedy, MD

5:00 pm Case Selection and Data (Cases) Sudeshna Banerjee, MD

5:15 pm Overview of Techniques (Cases) Anthony J. Spaedy, MD

5:30 pm European CTO Experience (Cases) Yves R. Louvard, MD

5:45 pm Q&A

5:55 pm CLOSING REMARKS / ADJOURN

6:00 pm WELCOME WINE AND CHEESE RECEPTION Ballroom Foyer, 6th Floor

MEET THE EXPERTS* | Supported by: Boston Scientific

6:00 pm Welcome and Introduction Ballroom Foyer, 6th Floor

Discussants: David A. Cox, MD, John M. Lasala, MD, PhD, Yves R. Louvard, MD, Ian Meredith, MD, PhD, David G. Rizik, MD, Anthony J. Spaedy, MD

6:05 pm Case Reviews

6:30 pm Q&A / Closing Remarks

* Not approved for CME, CEU or CE Credit

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GENERAL SESSION AGENDASATURDAY, APRIL 22, 2017

7:00 am REGISTRATION / CONTINENTAL BREAKFAST Foyer of Ballroom C, 6th floor

7:25 am Welcome and Introduction Ballroom A/B, 6th Floor Jasvindar Singh, MD

7:30 am KEYNOTE: IBM Watson Update Chaitanya K. Dahagam, MD

DEBATE CENTRAL IIModerators: Jeffrey W. Chambers, MD, Yves R. Louvard, MD

8:15 am Radial vs. Femoral Yves R. Louvard, MD, Howard I. Kurz, MD

8:35 am IVUS vs. OCT George S. Chrysant, MD, Marc A. Sintek, MD

8:55 am Bivalirudin vs. Heparin Amit P. Amin, MD, David A. Cox, MD

9:15 am Rotational Atherectomy vs. Orbital Atherectomy Jeffrey W. Chambers, MD, Arthur B. Reitman, MD

9:35 am iFR vs. FFR Sukhjinder Nijjer, MD, Richard G. Bach, MD


10:10 am BREAKOUT SESSIONS (Choose one session to attend)


CORONARY SESSION IVModerators: David A. Cox, MD, John M. Lasala, MD, PhD

10:10 am The Search for Vulnerable Plaque: Holy Grail or Fool’s Errand James A. Goldstein, MD

10:20 am Update on Pharmacology / Dual Anti-Platelet Therapy (DAPT) in the Cath Lab Amit P. Amin, MD

10:30 am SCD prevention after PCI or MI: Should I Use a Wearable Cardioverter Defibrillator? Marye J. Gleva, MD

COMPLEX CORONARY: CALCIUM / THROMBUS / FIBROTIC LESIONSModerators: Jeffrey W. Chambers, MD, Arthur B. Reitman, MD

10:40 am Dealing with Calcium Jeffrey W. Chambers, MD

10:50 am Dealing with Thrombus Arthur B. Reitman, MD

11:00 am Laser Atherectomy: Current Role in Coronaries Jasvindar Singh, MD

11:10 am Specialty Balloons, Do We Need Them? Manish A. Parikh, MD

11:20 am Case Example 1 Stilianos Efstratiadis, MD

11:25 am Case Example 2 Paul M. Lavigne, MD, Nishtha Sodhi, MD

11:30 am Q&A

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PERIPHERAL SESSION III | VENOUS THERAPYModerators: George S. Chrysant, MD, Adrian W. Messerli, MD, Jeffrey M. Sparling, MD

10:10 am Treatment of Acute Deep Vein Thrombosis / Pulmonary Embolism and Case Example Jeffrey M. Sparling, MD

10:25 am Treatment of Chronic Deep Vein Thrombosis and Case Example Adrian W. Messerli, MD

10:40 am Treatment of Great Saphenous Vein and Case Example S. Jay Mathews, MD

10:55 am Q&A

BELOW THE KNEE / CRITICAL LIMB ISCHEMIAModerators: George S. Chrysant, MD, Anish J. Thomas, MD, Craig M. Walker, MD

11:00 am Alternative Access George S. Chrysant, MD

11:10 am Role of DCB / Atherectomy: Is There a Difference Between Devices? Sahil A. Parikh, MD

11:20 am Role of Stenting / BVS Anish J. Thomas, MD

11:30 am Complex CLI Cases Sahil A. Parikh, MD, Craig M. Walker, MD


11:55 am BREAKOUT SESSIONS (Choose one session to attend)


STRUCTURAL SESSION IVModerators: David T. Balzer, MD, John M. Lasala, MD, PhD, David G. Rizik, MD

11:55 am Update in ASD / PFO John M. Lasala, MD, PhD

12:05 pm Adult Congenital: Imaging C. Huie Lin, MD, PhD

12:15 pm Adult Congenital: Cased-Based Review David T. Balzer, MD

12:25 pm Mitral Valve Disease: Patient Selection Spencer J. Melby, MD

12:35 pm Mitral Valve Disease: Update on Trials Alan Zajarias, MD

12:45 pm Mitral Valve Disease: Taped Cases David G. Rizik, MD

12:55 pm Q&A

1:00 pm CLOSING REMARKS / COURSE CONCLUSION Ballroom A/B, 6th Floor


RADIATION SAFETY AND QUALITY IMPROVEMENT IN THE CATH LABModerators: Amit P. Amin, MD, Stilianos Efstratiadis, MD, Anibal G. Melo, MD, Manish A. Parikh, MD

11:55 am Preventing Contrast Nephropathy Anibal G. Melo, MD

12:10 pm Quality Improvement and Cost Reduction in the Cath Lab Amit P. Amin, MD

12:25 pm Radiation Safety and Minimizing Exposure Stilianos Efstratiadis, MD

12:40 pm Robotics in the Cath Lab Manish A. Parikh, MD

12:55 pm Q&A

1:00 pm CLOSING REMARKS / COURSE CONCLUSION Ballroom A/B, 6th Floor

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Full Symposium Registration FeesThe Full Registration Fee includes attendance at the Wednesday Advances in Clinical Medicine Pre-Course, Wednesday Allied Health Professionals Symposium, Thursday Imaging / Physiology Best Cases Evening Symposium, the Thursday. Friday and Saturday General Sessions, continental breakfasts, refreshment breaks, lunches and the Friday Evening Welcome Cocktail Reception.

Fellows and Residents registration fees are WAIVED!

Discount Registration prior to Saturday, April 1, 2017!

Physician, Non-Member of SCAI $400 $450

Physician, Member of SCAI $350 $400

Fellow / Resident Waived Waived

Nurse / PA / Technician $100 $150

Industry Representative $250 $300

Affiliate of Washington University School of Medicine $100 $100 or Barnes-Jewish Hospital

CancellationsCancellations will be accepted through Friday, April 7th and are subject to a $75 administrative fee. There will be no refund of tuition for cancellations received after that date. Gaffney Events must receive written notification of your intent to cancel before the cancellation deadline. No refund of tuition will be given for no-shows.

Location

Four Seasons Hotel St. Louis999 North 2nd StreetSt. Louis, Missouri 63102PH: 314.881.5800$240.00 / night + taxwww.fourseasons.com/stlouis

A block of rooms has been reserved at the Four Seasons Hotel in St. Louis for attendees of the 2017 ARCH Symposium at a special reduced rate of $240.00 single or double occupancy per night plus tax. To receive the discounted room rate, reservations must be booked and confirmed by Tuesday, March 28, 2017. After that date, reservations will be subject to space and rate availability.

Note: This special reduced conference rate will be honored 2 days prior and 2 days after the symposium, based on availability.

Contact the Reservations Department directly at 314.881.5800 to request accommodations. When making reservations, please be sure to mention that you will be attending the Washington University and Barnes-Jewish Hosptial ARCH Symposium in order to obtain the discounted group rate.

Online ReservationsTo book your room online, visit

To register for the 2017 ARCH Symposium complete the registration form and return to Gaffney Events or register online:

www.ARCHsymposium.com

Gaffney Events27322 NE 143rd PlaceDuvall, WA 98019PH: 425.844.9019FAX: 425.788.0668

General Information


Registration Form


15

Registration Form Physician, Non-Member of SCAI

Physician, Member of SCAIFellow / Resident (Registration Fees Waived)Nurse / PA / TechnicianIndustry RepresentativeAffiliate of Washington University School of Medicine or Barnes-Jewish Hospital

Prior to 4/1/2017

$400$350

$0$100$250$100

After 4/1/2017

$450$400

$0$150$300$100

Full Symposium Registration Rates:

First Name: _____________________________________ Last Name: _____________________________________

Credentials: MD DO PhD RN Other (specify) _________________________________________

NPI #: __________________________________________________________________________________________

Institution: ______________________________________________________________________________________

Address: ________________________________________________________________________________________

City: ________________________________________ State: _______________________ Zip: _________________

Email: __________________________________________________________________________________________ (Must supply email to receive confirmation)

Office Phone: ___________________________________ Office Fax: ______________________________________

Type of Practice:

Cardiovascular Disease Endovascular Disease Other ______________________________________

Method of Payment:

Check (Please make checks payable to Gaffney Events Educational Trust)

Visa MasterCard American Express Discover

Name as it appears on credit card: _________________________________________________________________

Credit Card Number: ____________________________________________________ Exp. Date: _______________

Billing Address: __________________________________________________________________________________

Signature: ____________________________________________ CVC: ___________ Amount: $ _______________

DAILY REGISTRATION RATESNOTE: One-Day registration fees waived when paying Full ARCH Symposium Registration Fees! Must check one of the boxes below if you will be attending a One-Day Event as part of your full registration fee.

One-Day ARCH Pre-Course Advances in Clinical Medicine(Attendance at Wednesday, April 19, 2017 Only)

$150 Physician, Non-Member of SCAI$100 Physician, Member of SCAI$100 Industry Professional$50 Nurse, Tech, WUSTL or BJH Affiliate$0 When paying Full Symposium Fee

One-Day Allied Health Professionals Symposium (Attendance at Thursday, April 20, 2017 Only)

$100 Physician, Non-Member of SCAI $50 Physician, Member of SCAI$75 Industry Professional$75 Nurse, Tech, WUSTL or BJH Affiliate$0 When paying Full Symposium Fee

15321 Main Street NEP.O. Box 219Duvall, WA 98019

www.ARCHSymposium.comADVANCED REVASCULARIZATION - CHAPTER X

2 0 1 7 Celebrating our 10th Anniversary!

percutaneous cardiac and peripheral … cardiac and peripheral vascular ... interventional...

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